A small Taiwanese study showed significant improvement in long-term neurological function with this intensive intervention.
Survival after cardiac arrest remains low, even in patients with shockable rhythms. Extracorporeal membrane oxygenation (ECMO) may improve tissue perfusion during resuscitation, and case reports have described its use in emergency department (ED) patients in cardiac arrest. In a retrospective, observational study at a single Taiwanese ED, investigators compared outcomes in 20 patients with ventricular fibrillation who received ECMO and 40 who received conventional cardiopulmonary resuscitation (CPR).
Patients who received ECMO had longer resuscitation times (70 vs. 34 minutes), had more defibrillation attempts (9.7 vs. 6.5), and received more epinephrine doses (11.2 vs. 8.3 mg). The ECMO group also had higher likelihood of return of spontane…
Reviewing Author
DisclosuresRoyaltiesUpToDate
Grant/Research SupportEunice Kennedy Shriver National Institute of Child Health and Human Development; MINDSOURCE
Editorial BoardsThe Quarterly Update: Reviews of Current Child Abuse Medical Research; Child Abuse & Neglect: The International Journal
Leadership Positions in Professional SocietiesThe Helfer Society (Executive Committee Member)
DisclosuresRoyaltiesUpToDate
Grant/Research SupportEunice Kennedy Shriver National Institute of Child Health and Human Development; MINDSOURCE
Editorial BoardsThe Quarterly Update: Reviews of Current Child Abuse Medical Research; Child Abuse & Neglect: The International Journal
Leadership Positions in Professional SocietiesThe Helfer Society (Executive Committee Member)